Mrs Bridget Granholm, LCSW | |
99 Beauvoir Ave, Summit, NJ 07901-3533 | |
(908) 522-4800 | |
Not Available |
Full Name | Mrs Bridget Granholm |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 99 Beauvoir Ave, Summit, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083903751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05499400 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Mrs Bridget Granholm, LCSW 99 Beauvoir Ave, Summit, NJ 07901-3533 Ph: (908) 522-4800 | Mrs Bridget Granholm, LCSW 99 Beauvoir Ave, Summit, NJ 07901-3533 Ph: (908) 522-4800 |
Mrs. Barbara S. Sacks, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Woodland Ave, Summit, NJ 07901 Phone: 908-277-0210 Fax: 908-522-6668 | |
Sarah Levant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Springfield Ave Ste 302, Summit, NJ 07901 Phone: 973-637-0572 | |
Patrice M Fiore, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Woodland Avenue, Summit, NJ 07901 Phone: 908-522-6646 Fax: 908-522-6668 | |
Julia F Fox, LCSW LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 467 Springfield Ave, Ste 203-204, Summit, NJ 07901 Phone: 908-918-0109 Fax: 973-895-4956 | |
Ms. Lynn Wechsler Kramer, LCSW, LOTR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37 Maple St, 2nd Floor, Summit, NJ 07901 Phone: 908-277-1505 Fax: 908-277-2160 | |
Mrs. Amy Brightman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Springfield Ave Ste 302, Summit, NJ 07901 Phone: 707-400-5231 | |
Milissa Karen Aronson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 467 Springfield Ave Ste 203-204, Summit, NJ 07901 Phone: 862-251-6758 Fax: 862-252-8798 |